Advanced Breast Clinics, PSC

Advanced Breast Clinics, PSC was paid $5K by Medicaid between Mar 2018 and Jun 2022, across 2 billing codes. Its largest line is 99254, — 63% of everything it billed.

33Billing provider infoADVANCED BREAST CLINICS, PSC
TOA BAJA, PR 00949

33aNPI1992750046assigned 05/24/2006

33bProvider typeSurgery Physician

28Total paid$5K

24GClaims264

24DCodes billed2

24AFirst – last monthMar 2018 – Jun 2022

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#87 of 111

Median peer was paid$28K

This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	222	$4K
2019	14	$490.00
2020	12	$420.00
2022	16	$420.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99254		63%	112	95	$3K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	37%	152	105	$2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSANTIAGO SANCHEZ, CARLOS (PRESIDENT)